| NPI | 1356366322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA RN666365) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA RN666365) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-05-13 |